NPIMap

Organization Active NPI

My Time Rrecovery LLC

  • Community/Behavioral Health Agency
  • Visalia, CA
National Provider Identifier
1649956301
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MY TIME RRECOVERY LLC
Practice address
4040 S Demaree St
Visalia, CA 93277-9476
Phone
(559) 392-0241
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samantha Garcia
Title
Cao
Phone
(559) 392-0241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4040 S Demaree St
Visalia, CA 93277-9476

Mailing address

83 E Shaw Ave Ste 200
Fresno, CA 93710-7624
Phone (559) 392-0241

National Provider Directory

National Provider Directory
Tax ID family
My Time Recovery LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4040 S Demaree St
Visalia, CA 93277
Phone (559) 392-0241

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1649956301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 E SHAW AVE STE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107624",
            "telephone_number": "559-392-0241",
            "fax_number": "559-282-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779476",
            "telephone_number": "559-392-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TIME RRECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "559-392-0241"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.